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            <h1>
              
              20221201
            </h1>
          

        


<p>今天重新去瑞金医院挂了特需，让老教授给了些血小板降低的建议，又做了下血常规的记录统计。</p>
<p>回头把血常规明细表格贴在这里做个记录。</p>
<table>
<thead>
<tr>
<th>刘小明</th>
<th>白细胞计数</th>
<th>红细胞计数</th>
<th>血红蛋白</th>
<th>血小板计数</th>
<th>中性粒细胞</th>
<th>淋巴细胞</th>
<th>淋巴细胞比率%</th>
<th>备注</th>
</tr>
</thead>
<tbody>
<tr>
<td>日期/参考范围</td>
<td>3.5-9.5</td>
<td>4.3-5.8</td>
<td>130-175</td>
<td>125-350</td>
<td>1.8-6.3</td>
<td>1.1-3.2</td>
<td>20-50</td>
<td>用药情况</td>
</tr>
<tr>
<td>2022.10.13上午</td>
<td>3.86</td>
<td>4.49</td>
<td>136</td>
<td>15⬇</td>
<td>2.34</td>
<td>1.03⬇</td>
<td>26.7</td>
<td>10.11-10.13号四肢遍布红色出血点</td>
</tr>
<tr>
<td>2022.10.13下午</td>
<td>4.37</td>
<td>4.51</td>
<td>142</td>
<td>20⬇</td>
<td>2.99</td>
<td>1.03⬇</td>
<td>23.7</td>
<td>打点滴，甲泼尼龙80mg</td>
</tr>
<tr>
<td>2022.10.14</td>
<td>7.68</td>
<td>4.53</td>
<td>141</td>
<td>53⬇</td>
<td>6.33</td>
<td>1.02⬇</td>
<td>13.3⬇</td>
<td>打点滴，甲泼尼龙80mg</td>
</tr>
<tr>
<td>2022.10.15</td>
<td>8.1</td>
<td>4.35</td>
<td>137</td>
<td>130</td>
<td>5.9</td>
<td>1.4</td>
<td>17.0⬇</td>
<td>打点滴，甲泼尼龙80mg</td>
</tr>
<tr>
<td>2022.10.17</td>
<td>6.29</td>
<td>4.3</td>
<td>137</td>
<td>302</td>
<td>4.27</td>
<td>1.5</td>
<td>23.8</td>
<td>开始口服激素，泼尼松片6片*5mg</td>
</tr>
<tr>
<td>2022.10.19</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>抗血小板自身抗体阴性，泼尼松片4片*5mg</td>
</tr>
<tr>
<td>2022.10.20</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>泼尼松片2片*5mg</td>
</tr>
<tr>
<td>2022.10.23</td>
<td>4.28</td>
<td>4.47</td>
<td>139</td>
<td>389⬆</td>
<td>2.51</td>
<td>1.03⬇</td>
<td>24.1</td>
<td>开始停药</td>
</tr>
<tr>
<td>2022.10.27</td>
<td>3.68</td>
<td>4.78</td>
<td>143</td>
<td>208</td>
<td>2.3</td>
<td>0.97</td>
<td>26.3</td>
<td>停药状态</td>
</tr>
<tr>
<td>2022.10.30</td>
<td>3.35⬇</td>
<td>4.43</td>
<td>140</td>
<td>124⬇</td>
<td>1.74⬇</td>
<td>1.17</td>
<td>34.9</td>
<td>重新吃泼尼松片，每天2片*5mg</td>
</tr>
<tr>
<td>2022.11.5</td>
<td>4.76</td>
<td>4.51</td>
<td>144</td>
<td>35⬇</td>
<td>2.75</td>
<td>1.65</td>
<td>34.7</td>
<td>遵医嘱，增加泼尼松片药量，每天6片*5mg，两周减一片</td>
</tr>
<tr>
<td>2022.11.12</td>
<td>6.78</td>
<td>4.71</td>
<td>147</td>
<td>368⬆</td>
<td>5.08</td>
<td>1.2</td>
<td>17.7⬇</td>
<td>泼尼松片每天6片*5mg</td>
</tr>
<tr>
<td>2022.11.19</td>
<td>6.69</td>
<td>4.58</td>
<td>147</td>
<td>327</td>
<td>5.24</td>
<td>1.03⬇</td>
<td>15.40⬇</td>
<td>减一片，每天5片*5mg</td>
</tr>
<tr>
<td>2022.11.27</td>
<td>6.74</td>
<td>4.44</td>
<td>147</td>
<td>188</td>
<td>5.29</td>
<td>1.07⬇</td>
<td>15.9⬇</td>
<td>每天5片*5mg</td>
</tr>
<tr>
<td>2022.12.1</td>
<td>5.29</td>
<td>4.64</td>
<td>144</td>
<td>193</td>
<td>3.89</td>
<td>1.03⬇</td>
<td>19.5⬇</td>
<td>每天5片*5mg</td>
</tr>
<tr>
<td>2022.12.10</td>
<td>4.88</td>
<td>4.5</td>
<td>146</td>
<td>211</td>
<td>3.61</td>
<td>0.98⬇</td>
<td>20.1</td>
<td>开始每天4片*5mg泼尼松</td>
</tr>
</tbody>
</table>
<p>也不知道啥时候可以停掉激素，老教授说的两周减一片还是有点快，本来三个月可以减完，老教授的意思要坚持半年才行。</p>
<p>也不知道啥时候可以消除掉满月脸，激素的副作用已经让胖成个猪头脸了。</p>
<p>今天还把技术博客和网文博客，从github上迁移来了gitee，没办法，网速实在是太慢太慢了，github上还是只更新技术博文吧。</p>
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（BossLiu）</p>
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